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Outcomes After Transabdominal Preperitoneal Inguinal Hernia Repair

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The SAGES Manual of Hernia Repair

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Abstract

While the majority of hernia repairs are performed in the United States using an open technique, the transabdominal preperitoneal (TAPP) hernia repair offers equivalent or improved outcomes compared to open repair. Surgeon experience with TAPP is paramount when examining outcomes such as recurrence and chronic pain. Other outcomes such as urologic injuries, infection, bowel obstruction, and cost are also noteworthy. Overall, the data conclude that in experienced hands, the recurrence rate is at least low with TAPP as with open. Most conclude that TAPP decreases the incidence of chronic postoperative pain. Cost remains a nebulous topic of discussion considering that the hospital, patient, insurers, and surgeon incur costs, either directly or indirectly, with any procedure and that a cost savings for one party may be an expense for another. Complications such as bladder injury, mesh infection, and postoperative bowel obstruction are uncommon. Awareness of these potential complications as well as their treatment improves the safety of TAPP. The surgeon should tailor his surgical approach based on his experience with laparoscopic hernia repair and on the unique clinical scenario for each patient.

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References

  1. SAGES patient information for laparoscopic inguinal hernia repair. http://www.sages.org/publication/id/PI06. Accessed 30 Aug 2011

  2. Fitzgibbons R, Puri V. Invited Commentary-Laparoscopic inguinal hernia repair. Am Surg. 2006;72:197–208.

    PubMed  Google Scholar 

  3. Rutkow IM. Demographic and socioeconomic aspects of hernia repair in the United States in 2003. Surg Clin North Am. 2003;83:1045–51.

    Article  PubMed  Google Scholar 

  4. Arregui ME, Davis CJ, Yucel O. Laparoscopic mesh repair of inguinal hernia using a preperitoneal approach: a preliminary report. Surg Laparosc Endosc. 1992;2:53–8.

    PubMed  CAS  Google Scholar 

  5. Takata MC, Duh Q. Laparoscopic inguinal hernia repair. Surg Clin North Am. 2008;88:157–78.

    Article  PubMed  Google Scholar 

  6. Kapiris SA, Brough WA, Royston CMS, O’Boyle C, Sedman PC. Laparoscopic transabdominal preperitoneal TAPP hernia repair. A 7-year two-center experience in 3017 patients. Surg Endosc. 2001;15:972–5.

    Article  PubMed  CAS  Google Scholar 

  7. Kocot A, Gerharz EW, Riedmiller H. Urological complications of laparoscopic inguinal hernia repair: a case series. Hernia. 2011;15:583–6.

    Article  PubMed  CAS  Google Scholar 

  8. Hume RH, Bour J. Mesh migration following laparoscopic inguinal hernia repair. J Laparoendosc Surg. 1996;6(5):333–5.

    Article  PubMed  CAS  Google Scholar 

  9. McCormack K, Wake B, Perez J, et al. Laparoscopic surgery for inguinal hernia repair: systematic review of effectiveness and economic evaluation. Health Technol Assess. 2005;9(14):1–203.

    PubMed  CAS  Google Scholar 

  10. Agrawal A, Avill R. Mesh migration following repair of inguinal hernia: a case report and review of literature. Hernia. 2006;10(1):79–82.

    Article  PubMed  CAS  Google Scholar 

  11. Shin D, Lipshultz LI, Goldstein M, et al. Herniorrhaphy with polypropylene mesh causing inguinal vasal obstruction. A preventable cause of obstructive azoospermia. Ann Surg. 2005;241(4):553–8.

    Article  PubMed  Google Scholar 

  12. Ming Do H, Turner K, Dietel A, Wedderburn A, Liatsikos E, Stolzenburg J. Previous Laparoscopic inguinal hernia repair does not adversely affect the functional of oncological outcome of endoscopic extraperitoneal radical prostatectomy. Urology. 2011;77:963–8.

    Article  Google Scholar 

  13. Neumayer L, Giobbie-Hurder A, Jonasson O, et al. Open mesh versus laparoscopic mesh repair of inguinal hernia. New Engl J Med. 2004;350:1819–27.

    Article  PubMed  CAS  Google Scholar 

  14. Hawn MT, Itani KMF, Giobbie-Hurder A, et al. Patient reported outcomes after inguinal herniorrhaphy. Surgery. 2006;140:198–205.

    Article  PubMed  Google Scholar 

  15. Johansson B, Hallerback B, Glise H, et al. Laparoscopic mesh versus open preperitoneal mesh versus conventional technique for inguinal hernia repair: a randomized multicenter trial (SCUR Hernia Repair Study). Ann Surg. 1999;230(2):225–31.

    Article  PubMed  CAS  Google Scholar 

  16. Grant AM, EU Hernia Trialists Collaboration. Laparoscopic versus open groin hernia repair: meta-analysis of randomised trials based on individual patient data. Hernia. 2002;6(1):2–10.

    Article  PubMed  CAS  Google Scholar 

  17. The MRC Laparoscopic Groin Hernia Trial Group. Laparoscopic versus open repair of groin hernia: a randomized comparison. Lancet. 1999;354:185–90.

    Article  Google Scholar 

  18. Dickinson KJ, Thomas M, Fawole AS, Lyndon PJ, White CM. Predicting chronic post-operative pain following laparoscopic inguinal hernia repair. Hernia. 2008;12(6):597–601.

    Article  PubMed  CAS  Google Scholar 

  19. Bittner R, Leibl BJ, Kraft B, Schwarz J. One year results of a prospective, randomized, clinical trial comparing four meshes in laparoscopic inguinal hernia repair (TAPP). Hernia. 2011;15:503–10.

    Article  PubMed  CAS  Google Scholar 

  20. Douek M, Smith G, Oshowo D, Stoker DL, Wellwood JM. Prospective randomized controlled trial of laparoscopic versus open inguinal hernia mesh repair: five year follow up. BMJ. 2003;326:1012–3.

    Article  PubMed  CAS  Google Scholar 

  21. Felix EL, Michas CA, Gonzalez MH. Laparoscopic hernioplasty: Tapp vs TEP. Surg Endosc. 1995;9:984–9.

    PubMed  CAS  Google Scholar 

  22. Schrenk P, Woisetschlager R, Reiger R, Wayand W. Prospective randomised trial comparing postoperative pain and return to physical activity after transabdominal preperitoneal, total preperitoneal or Shouldice technique for inguinal hernia. Br J Surg. 1996;83:1563–6.

    Article  PubMed  CAS  Google Scholar 

  23. Misra MC, Bansal VK, Kumar S, Prashant B, Bhattacharjee HK. Total extra-peritoneal repair of groin hernia: prospective evaluation at a tertiary care center. Hernia. 2008;12:65–71.

    Article  PubMed  CAS  Google Scholar 

  24. Karthikesalingam A, Markar SR, Holt PJE, Praseedom RK. Meta-analysis of randomized controlled trials comparing laparoscopic with open mesh repair of recurrent inguinal hernia. BJS. 2010;97(1):4–11.

    Article  CAS  Google Scholar 

  25. Mahon D, Decadt B, Rhodes M. Prospective randomized trial of laparoscopic (transabdominal preperitoneal) vs open (mesh) repair for bilateral and recurrent inguinal hernia. Surg Endosc. 2003;17:1386–90.

    Article  PubMed  CAS  Google Scholar 

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Author information

Authors and Affiliations

  1. Malley Surgical, Mission, KS, USA

    Nicole Fearing MD

  2. Department of General Surgery, Providence Medical Center, General Surgery Associates, Kansas City, KS, USA

    Kimberly Ponnuru MD, FACS

Authors
  1. Nicole Fearing MD
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  2. Kimberly Ponnuru MD, FACS
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Corresponding author

Correspondence to Nicole Fearing MD .

Editor information

Editors and Affiliations

  1. , Mount Sinai Medical Center, Mount Sinai School of Medicine, 1010 5th Avenue, New York, 10028, New York, USA

    Brian P. Jacob

  2. Advanced Hernia Solutions, Department of General Surgery, Transformative Care Institute, 1890 Lpga Blvd Suite 250, Daytona Beach, 32117, USA

    Bruce Ramshaw

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Fearing, N., Ponnuru, K. (2013). Outcomes After Transabdominal Preperitoneal Inguinal Hernia Repair. In: Jacob, B., Ramshaw, B. (eds) The SAGES Manual of Hernia Repair. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-4824-2_11

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  • DOI: https://doi.org/10.1007/978-1-4614-4824-2_11

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  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4614-4823-5

  • Online ISBN: 978-1-4614-4824-2

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